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Home My WebLink AboutPermit PG14-0008 - YALMEH RESIDENCE - WATER HEATER AND GAS PIPING OUTLETYALMEH RESIDENCE 16828 53 AVE S PG1 4-0008 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov 8125200300 16828 53 AVE S Project Name: YALMEH RESIDENCE WATER HEATER PERMIT Permit Number: PG14-0008 Issue Date: 1/29/2014 Permit Expires On: 7/28/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: YALMEH FRED 16828 53RD AVE S , TUKWILA, WA, 98188 ALEX BURKHART 727 S KENYON ST, SEATTLE, WA, 98108 EVERGREEN REFRIGERATION LLC 727 S KENYON ST, SEATTLE, WA, 98108 EVERGRL954R2 Expiration Date: 1/6/2016 Phone: (206) 763-1744 Phone: (206) 763-1744 DESCRIPTION OF WORK: INSTALLATION OF (1) WATER HEATER AND (1) GAS PIPING OUTLET TO THE WATER HEATER. Valuation of Work: $1,400.00 Water District: HIGHLINE Sewer District: TUKWILA SEWER SERVICE Fees Collected: $111.50 Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: Date: cAl2AIH I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Date: HA I I h Print Name: / �'� �✓wt`'L'""k-- This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: <NONE> PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2000 GAS PIPING FINAL 1900 PLUMBING FINAL 9002 ROUGH -IN GAS PIPING 8005 ROUGH -IN PLUMBING CITY OF TUKW1..A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas Permit No. P G i- f r DO " Project No. Date Application Accepted: O� I/11, ,t Date Application Expires: (For office use only) PLUMBING / GAS PIPING PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION Site Address: I 82g S 3 CI Ave- Tenant Name: PROPERTY OWNER Name: Fre/I A 1►h k Address: ; inc Z s 5' ✓! At,e_ $ City: T k w a A State: L/Ik Zip: 4j y l "" CONTACT PERSON — person receiving all project communication Name: Q �� 30(040..— Address: 1.271 5 t)vi-t1kedittz11 St City: se Vt 'L State: wiNrZip: Iva Phone: it, --x3-- [—NH Fax: 206 --ih g _ 2- g ct Email: C1,,LX L2v ►e- t h 61k-t. -cow% King Co Assessor's Tax No.: 2 f 2- 5 Zb D 360 Suite Number: Floor: New Tenant: ❑ Yes ❑..No PLUMBING CONTRACTOR INFORMATION Company Name: F. etti ndf, ,,,, n Address: - 2-1 50,ft't1 kevitiol-1 54- , City: seiAtk, State: W Zip: cc si ti Phone: 4 „1 h3 ._ i 1, `i Fax: Zi 6 — --i63 ,- 2.3 2 cI Contr Reg No.: vatz (y-YL v1 S`it 2 p Date: 11 G /t Tukwila Business License No.: bv S _ °em Z$ 77 Valuation of Project (contractor's bid price): $ l0Ub Scope of Work (please provide detailed information): Building Use (per Int'l Building Code). S l " ' l7 Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: H:\Applications\Fortes-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap Sinks Rain water system — per drain (inside building) Grease interceptor for commercial kitchen (>750 gallon capacity) Each additional medical gas inlets/outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1-5) Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory Urinal Water heater and/or vent 1 Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Fixture Type Qty Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets Fixture Type Qty Dental unit, cuspidor Floor drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping system serving 1-5 inlets/outlets for a specific gas Each lawn sprinkler system on any one meter including backflow protection devices PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition). 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: Print Name: A' C NAr1J1"a� Mailing Address: v 1 Sack v-1 Date: I / i t+ Day Telephone: �' _ 53 14 seeNtkke City State Zip H:\Applications\Fonns-Applications On Line\20I I Applications\Plumbing Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY I PAID $111.50 PG14-0008 Address: 16828 53 AVE S Apn: 8125200300 $111.50 GAS $65.00 PERMIT FEE R000.322.100.00.00 $65.00 PLUMBING $46.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 WATER HEATER FIXTURE FEE TOTAL FEES PAID BY RECEIPT: R976 R000.322.103.00.00 $14.00 $111.50 Date Paid: Wednesday, January 29, 2014 Paid By: EVERGREEN REFRIGERATION LLC Pay Method: CHECK 006312 Printed: Wednesday, January 29, 2014 9:52 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 P6iyoi0E Project: TA l �1 E 4 c Type oft---- p�ecti - / I e 5,3 60 G Date Called: Special Instructions: Date anted`; 7— j� P mi Requester N Phone o: Phone GSI-!o.63 Approved per applicable codes. Corrections required prior to approval. COMMENTS: i av 61► 1 \ en\D\c,:k- c� Ins ectori 1044 A , (,i t) ce_ R /, I l REliNSPECTION FEE REQUIRED. Prior to 9ext inspection, fee must be I'd at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: %.f EVERGREEN REFRIGERATION T T C Page 1 of 3 Washington State Department of Labor & industries EVERGREEN REFRIGERATION LLC Owner or tradesperson PATTON, RODGER Principals PATTON, RODGER MATTHEW PATTON Adam Patton Douglas Patton DAVID PATTON Doing business as EVERGREEN REFRIGERATION LLC WA UBI No. 602 512 953 727 S KENYON ST SEATTLE, WA98108 206-763-1744 KING, County Business type Limited Liability Company Governing persons DAVIDAPATTON License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. EVERGRL954R2 Effective — expiration 01/06/2006 — 01/06/2016 Bond Merchants Bonding Co (Mutual) Bond account no. WA15097 $12,000.00 Received by L&I Effective date 12/15/2011 01 /01 /2012 Insurance AMERICAN FIRE AND CASUALTY COM $1,000,000.00 Policy no. BAW54192293 Received by L&I Effective date 07/30/2013 07/31/2010 Expiration date 07/31/2014 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL954R2&SAW= 01/29/2014